SHELBY POWELL (NPI# 1174142814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174142814 |
| Entity Type | Individual |
| Full Name | SHELBY POWELL |
| Practice Address |
114 3rd St Se Fort Walton Beach FL 32548-5401 |
| Mailing Address |
151 Gratton Ward Rd Attapulgus GA 39815-2223 |
| Practice Telephone | 8502436134 |
| Mailing Telephone | 2294001401 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 20815 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933596 | Shelby Mackenzie Powell | Physical Therapist | 1739 Elm Ct Ste 205206, Jefferson City, MO 65101-4303 | 2019-07-01 |
| Street Address |
114 3RD ST SE |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32548-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799623 | Emerald Coast Rehabilitation Center, LLC | Skilled Nursing Facility | 114 3rd St Se, Fort Walton Beach, FL 32548-5401 | 2005-06-09 |
| 1053935627 | Ivana Castaneda | Physical Therapist | 114 3rd St Se, Fort Walton Beach, FL 32548-5401 | 2020-05-29 |
| 1366064206 | Heather Mills | Occupational Therapist | 114 3rd St Se, Fort Walton Beach, FL 32548-5401 | 2020-05-14 |
| 1952920209 | Meghan Laura Hartline | Speech-Language Pathologist | 114 3rd St Se, Fort Walton Beach, FL 32548-5401 | 2020-04-15 |
| 1508402900 | Carol Furr | Physical Therapist | 114 3rd St Se, Fort Walton Beach, FL 32548-5401 | 2019-11-20 |
| 1780147611 | Cara Mae Canny | Speech-Language Pathologist | 114 3rd St Se, Fort Walton Beach, FL 32548-5401 | 2019-04-08 |
| 1134687569 | Caroline Elizabeth Cox | Occupational Therapist | 114 3rd St Se, Fort Walton Beach, FL 32548-5401 | 2019-03-05 |
| 1700341559 | Joanna Alexandra Gocan | Physical Therapy Assistant | 114 3rd St Se, Fort Walton Beach, FL 32548-5401 | 2019-02-06 |
| 1982187878 | Tiffany Matt | Occupational Therapy Assistant | 114 3rd St Se, Fort Walton Beach, FL 32548-5401 | 2018-09-07 |
| 1508196411 | Lisa Williams | Licensed Vocational Nurse | 114 3rd St Se, Fort Walton Beach, FL 32548-5401 | 2009-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718426 | Erica Darby | Pharmacist | Publix, 421 Mary Esther Cut Off, Fort Walton Beach, FL 32548 | 2020-07-30 |
| 1770136681 | Michael Cody Jones | Pharmacist | 251 Miacle Strip Pkwy Se, Fort Walton Beach, FL 32548 | 2019-07-19 |
| 1346714532 | Alison Ann Gould | Occupational Therapy Assistant | Emerald Coast Heath Care, 114 Third St, Fort Walton Beach, FL 32548 | 2019-01-22 |
| 1699217695 | Mayra Lopez | Dentist | Blvd. Gomez Morin #8569, Suite 6a, Juarez, CHIHUAHUA 32548 | 2016-11-08 |
| 1265808455 | Rajiv Tuladhar Dmd Holdings, Pllc | Dentist | 516 Mary Esther Blvd Ste 2, Fort Walton Beach, FL 32548 | 2015-08-11 |
| 1881090702 | Annette Peadro | Behavioral Analyst | 171 Brooks St, Suite 308, Fort Walton Beach, FL 32548 | 2014-11-05 |
| 1790037729 | Julie Bradfield | Counselor | 44 Shell Ave, Fort Walton Beach, FL 32548 | 2012-10-15 |
| 1740559582 | Beth Paula Ritenour | Pharmacist | 414 Mary Esther Cutoff Nw, C, Fort Walton Beach, FL 32548 | 2011-12-23 |
| 1891080867 | Okaloosa County Council On Aging | Home Health | 207 Hospital Drive, Fort Walton Beach, FL 32548 | 2011-06-17 |
| 1649580275 | Sharon Renee Wise | Counselor | 44 Shell Avenue Se, Fort Walton Beach, FL 32548 | 2010-10-17 |
| Find all providers in zip 32548 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386125433 | Grace Ann Stoner | Occupational Therapist | 928 Mar Walt Dr Ste 103, Fort Walton Beach, FL 32547-6706 | 2018-08-27 |
| 1700396330 | Aegis Group Practice LLC | Occupational Therapist | 1001 Mar Walt Dr Apt 112, Fort Walton Beach, FL 32547-6745 | 2017-10-10 |
| 1568893188 | Hazel Tomita | Occupational Therapist | 1338 Beverly St, Fort Walton Beach, FL 32547-1133 | 2013-12-07 |
| 1497097836 | Kathryn Clark Demass | Occupational Therapist | 405 Racetrack Rd Ne Ste 101, Fort Walton Beach, FL 32547-3960 | 2013-03-25 |
| 1629369509 | Kristin Anne Fredmonsky | Occupational Therapist | 224d Eglin Pkwy Ne, Fort Walton Beach, FL 32547-2877 | 2011-04-26 |
| 1407171549 | Zoely Vera | Occupational Therapist | 24 Hollywood Blvd Sw, Fort Walton Beach, FL 32548-4893 | 2010-04-01 |
| 1083729164 | Brenda Royster | Occupational Therapist | 928 Mar Walt Drive, Suite 104, Fort Walton Beach, FL 32547 | 2006-08-20 |
| 1366064206 | Heather Mills | Occupational Therapist | 114 3rd St Se, Fort Walton Beach, FL 32548-5401 | 2020-05-14 |
| 1295369650 | Susan Wren Terry | Occupational Therapist | 1001 Mar Walt Dr Apt 112, Fort Walton Beach, FL 32547-6745 | 2020-02-25 |
| 1134687569 | Caroline Elizabeth Cox | Occupational Therapist | 114 3rd St Se, Fort Walton Beach, FL 32548-5401 | 2019-03-05 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32548 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.